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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

How Screening-to-Diagnostic Colonoscopy Conve...

In 2026, screening-to-diagnostic colonoscopy conversions remain one of the most overlooked reimbursement risks for gastroenterology practices across the United States. A routine clinical decision made during a colonoscopy can trigger denials, underpayments, payment delays, and audit exposure when documentation, coding, and payer requirements are not aligned.

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gastroenterology billing services screening diagnostic colonoscopy conversion modifier PT 2026
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December 08, 2020

CMS Updates for Billing and Coding: Q...

We’re coming into the end of the year, which means now is a great time for healthcare leaders and medical billing and co...

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